| NPI | 1174829469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1801296-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH S1000364) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2022-03-28 |