| NPI | 1275103525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2106112) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S.2106112) |
| Enumeration Date | 2021-06-29 |
| Last Update Date | 2022-06-21 |