| NPI | 1124598776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1802174) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S.1802174) |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2020-08-12 |