| NPI | 1093078891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH I1302461) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW017102) |
| Enumeration Date | 2012-06-18 |
| Last Update Date | 2017-02-13 |