| NPI | 1295150860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YS0200X Counselor, School (Licence: OH OH1463726) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E3450) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |