| NPI | 1356872352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH 1.007819SUPV) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH I.0007819-SUPV) |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2020-01-03 |