| NPI | 1124198197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E 0000348) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I 0002267) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-08 |