| NPI | 1497708309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH C8084) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH E0008084) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2008-03-07 |