| NPI | 1316295728 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0800415Supv) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E0800415) |
| 101Y00000X Counselor (Licence: OH E0800415) | |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2015-11-12 |