| NPI | 1275692014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.0007912) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.0007912) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2007-07-08 |