| NPI | 1578727830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MI 6401010839) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E0008359) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2012-10-25 |