| NPI | 1720175680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0007413) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C7413) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2010-02-24 |