| NPI | 1982802070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E 0007334) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C0007334) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2018-02-28 |