| NPI | 1023103447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I0800102) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S0031843) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-04-15 |