| NPI | 1255889374 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S 0030846) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH S 0030846) |
| Enumeration Date | 2016-09-18 |
| Last Update Date | 2016-09-18 |