| NPI | 1366873721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401013545) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E-1604) |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2013-12-10 |