| NPI | 1497895924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0007587-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E0007587) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2019-09-10 |