| NPI | 1124239629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH I-9409) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I-9409) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2011-04-28 |