| NPI | 1578997441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0003341) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 6457) |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2013-08-28 |