| NPI | 1821391012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E080063) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.0800463) |
| Enumeration Date | 2010-12-10 |
| Last Update Date | 2016-03-01 |