| NPI | 1568592624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E0001913) |
| Additional Taxonomies | 104100000X Social Worker (Licence: S0010150) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-07-08 |