| NPI | 1841520970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E4144) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC 2929) |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2010-01-13 |