| NPI | 1013415306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NY 079993) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I.2002199) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2020-07-15 |