| NPI | 1326406505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I1500173) |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health (Licence: OH I1500173) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |