| NPI | 1174669402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.0003190) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S0006779) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2011-07-25 |