| NPI | 1306093307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1700010-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: OH I.1700010) | |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2018-10-17 |