| NPI | 1386745214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH 14394) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH 2179) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |