| NPI | 1366791220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0800120-SUPV) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH S0016436) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2020-08-25 |