| NPI | 1174026686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34010821A) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH I.2304843) |
| Enumeration Date | 2018-03-10 |
| Last Update Date | 2024-03-27 |