| NPI | 1265620702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E0500014 -SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: 87391) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2017-06-12 |