| NPI | 1235289505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E.0002047-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.0002047-SUPV) |
| 101YP2500X Counselor, Professional (Licence: OH E.0002047-SUPV) | |
| 103T00000X Psychologist (Licence: OH 5427) | |
| 103TC0700X Psychologist, Clinical (Licence: OH 5427) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: OH 5427) | |
| 103TP2701X Psychologist, Group Psychotherapy (Licence: OH 5427) | |
| 104100000X Social Worker (Licence: OH S.0016406) | |
| 1041C0700X Social Worker, Clinical (Licence: OH S.0016406) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-07-08 |