| NPI | 1316484256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.1400250) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1000204) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-03-08 |