| NPI | 1750450417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH 991598) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E0500042) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2007-07-08 |