| NPI | 1659383958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E0001242) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S0009466) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2007-07-08 |