| NPI | 1225272628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I 0600148 - S) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH I 0600148 S) |
| 101YM0800X Counselor, Mental Health (Licence: OH I 0600148 S) | |
| 104100000X Social Worker (Licence: OH I 0600148 S) | |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2009-04-29 |