| NPI | 1558500769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH C-0016333) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: OH C-0016333) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2009-02-11 |