| NPI | 1497804504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 4565) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C5702) |
| 104100000X Social Worker (Licence: OH S10087) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-08 |