| NPI | 1457785255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 70803) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C 0600269) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |