| NPI | 1033617212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2004743) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 87923) |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2024-05-08 |