| NPI | 1255535092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.8254-S) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S13653) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2018-04-10 |