| NPI | 1760549745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E-0001915) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S-0013529) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2007-07-11 |