| NPI | 1346505922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: NC A9836) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH 1100587) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2013-06-23 |