| NPI | 1124363825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH C0900662) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH C0900662CR) |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2012-12-06 |