| NPI | 1336416296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2203880) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NY 083260-1) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2023-09-30 |