| NPI | 1134193253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E0003376) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: FL MH9451) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2012-10-25 |