| NPI | 1225521875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1901829) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S1500381) |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2019-10-10 |