| NPI | 1013185313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E1000082-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S0027502) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2021-08-27 |