| NPI | 1245700814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2203832) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: S.1800761-TRNE) |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2023-04-27 |