| NPI | 1245676501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1300331) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1002086) |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2017-01-19 |