| NPI | 1235202730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C-0007737) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM 3186) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2012-01-02 |