| NPI | 1073050910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1700037-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH I.1700037) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2025-11-03 |