| NPI | 1952322349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH s-0017755) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH s-0017755) |
| 101YS0200X Counselor, School (Licence: OH s-0017755) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |