| NPI | 1225140841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0003521-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH E-0003521) |
| 101YM0800X Counselor, Mental Health (Licence: OH E-0003521) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2018-08-23 |