| NPI | 1699862557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC3441) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E0002268) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2010-05-18 |