| NPI | 1780857466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E0005416) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S10071) |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |