| NPI | 1023504255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.2202938) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C.1901705) |
| 104100000X Social Worker (Licence: OH S1700997) | |
| Enumeration Date | 2018-07-11 |
| Last Update Date | 2022-08-12 |