| NPI | 1285942755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1201079-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical (Licence: OH I.1201079) | |
| Enumeration Date | 2010-09-18 |
| Last Update Date | 2022-09-29 |