| NPI | 1316903420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH C-0005035) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S-0017671) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2007-07-08 |