| NPI | 1467849182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1500011) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1000004) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-06-08 |