| NPI | 1023130481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E-0002936) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: KY KY-0668) |
| 104100000X Social Worker (Licence: OH S-0016187) | |
| Enumeration Date | 2007-04-05 |
| Last Update Date | 2018-02-21 |