| NPI | 1528138203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E-0001485) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E-0001485) |
| 101YP2500X Counselor, Professional (Licence: OH E-0001485) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2007-07-08 |