| NPI | 1124259247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0800219-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S 0032079) |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2018-10-26 |