| NPI | 1972546869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E3967) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH S0014530) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2007-07-08 |