| NPI | 1295823326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E-0002638) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 39000668A) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2018-02-14 |