| NPI | 1730444670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IN 39002367A) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH E0004092) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2012-07-06 |