| NPI | 1578602140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH C0008376) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: 00056710) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2007-07-08 |