| NPI | 1114589066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2103285-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S.1904041) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2103285) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2023-01-04 |