| NPI | 1598196404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.0001711-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OR C2542) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |