| NPI | 1093205122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH CDCA.140347) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2208341) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2022-11-07 |