NPI | 1104171032 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I 1101251) |
Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH I 1101251) |
Enumeration Date | 2012-07-17 |
Last Update Date | 2012-07-17 |