| NPI | 1427231885 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E-0001799) | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E-0001799) | 
| Enumeration Date | 2007-12-07 | 
| Last Update Date | 2007-12-07 |