| NPI | 1255531414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E 1700117) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C0501362) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2017-04-11 |