| NPI | 1053021147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH C.2204429) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH C.2204429-TRNE) |
| Enumeration Date | 2022-11-29 |
| Last Update Date | 2022-11-29 |