| NPI | 1861775850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW 13457) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH I 1000343) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2016-03-22 |