| NPI | 1124168984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I0700391) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S0500668) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2015-04-15 |