| NPI | 1356820021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: I.1901847) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 253844) |
| 104100000X Social Worker (Licence: OH S.1600543) | |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2021-04-10 |