| NPI | 1407942477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: FL MH6914) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH E0004121) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-08 |