| NPI | 1801010855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 0005449) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E-0003975) |
| 101YP2500X Counselor, Professional (Licence: OH E-0003975) | |
| 106H00000X Marriage & Family Therapist (Licence: OH E-0003975) | |
| 163W00000X Registered Nurse (Licence: OH RN 138830) | |
| 163W00000X Registered Nurse (Licence: CO 0199148) | |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2016-03-29 |