| NPI | 1891831640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E 0002188) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S 0006115) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |