| NPI | 1104544048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2207902) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.2207902) |
| 101YM0800X Counselor, Mental Health (Licence: OH S.2207902) | |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2022-08-24 |