| NPI | 1326496696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH 1502014) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: OH 101112) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2023-12-18 |