| NPI | 1891002721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.0500895-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E.0500895-SUPV) |
| 101YP2500X Counselor, Professional (Licence: OH C.0500895) | |
| 101YP2500X Counselor, Professional (Licence: OH E.0500895) | |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2016-03-18 |