| NPI | 1568431898 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E1200019) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 19783) |
| 101YP2500X Counselor, Professional (Licence: TX 19783) | |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2012-09-28 |