| NPI | 1164979985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2512763) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 101Y00000X Counselor (Licence: OH CDCA.151925) | |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2026-06-09 |