| NPI | 1073863767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1451332) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH S1000412) |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2021-07-12 |