| NPI | 1740409622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: E.0007741-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C0007741) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2018-08-14 |