| NPI | 1386668200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E0001636-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E0001636-SUPV) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2016-02-16 |