| NPI | 1104361740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0003505) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0009495) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |