| NPI | 1790966406 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: NC 8788) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.0600233) |
| 101YM0800X Counselor, Mental Health (Licence: OH E.0600233) | |
| Enumeration Date | 2007-11-21 |
| Last Update Date | 2013-04-12 |