| NPI | 1679624035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C0005903) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S0020096) |
| Enumeration Date | 2007-01-14 |
| Last Update Date | 2007-12-22 |