| NPI | 1275191678 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2405347) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH S.2005273) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2024-04-24 |