| NPI | 1700154838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C0602097) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C0602097) |
| 101YP2500X Counselor, Professional (Licence: OH C0602097) | |
| Enumeration Date | 2011-12-04 |
| Last Update Date | 2011-12-04 |