| NPI | 1023544525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S1500251) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S1500251) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2020-11-09 |