| NPI | 1073178604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2406027) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1000966) |
| 101YM0800X Counselor, Mental Health (Licence: OH S1000966) | |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2024-11-19 |