| NPI | 1205221306 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH 1600014) | 
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1101216) | 
| Enumeration Date | 2015-04-06 | 
| Last Update Date | 2022-07-21 |