| NPI | 1053775197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S13182) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C6056) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |