| NPI | 1255468344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0101321) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E0003856) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2009-02-07 |