NPI | 1144712670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.1903974) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2018-05-31 |
Last Update Date | 2021-09-12 |