| NPI | 1174512800 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 1390) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S13367) |
| 106H00000X Marriage & Family Therapist (Licence: OH F096) | |
| Enumeration Date | 2005-10-15 |
| Last Update Date | 2007-07-08 |