| NPI | 1922179589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH I0009589) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH I0009589) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2007-07-08 |