| NPI | 1669521969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH E2757-S) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH 6067) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2007-07-09 |