| NPI | 1366849762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2002486) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1451286) |
| Enumeration Date | 2014-12-01 |
| Last Update Date | 2024-10-14 |