| NPI | 1740409507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E-0007925) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH E-0007925) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2015-09-22 |