| NPI | 1497907208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: WV 1884) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH E3870) |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2008-10-13 |