| NPI | 1104107242 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.0602176-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.0602176) |
| 101YP2500X Counselor, Professional (Licence: OH C.0602176-CR) | |
| 101YM0800X Counselor, Mental Health (Licence: OH E.0602176) | |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2016-01-06 |