| NPI | 1902035793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39001419A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH s0025397) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2014-03-12 |