| NPI | 1215425152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH S.1701181) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH S.1701181) |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-04-26 |