| NPI | 1205420411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2304779) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 34009168A) |
| Enumeration Date | 2021-02-28 |
| Last Update Date | 2023-10-17 |