| NPI | 1407089550 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0009378-SUPV)  | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical | 
| 101YM0800X Counselor, Mental Health (Licence: OH I0009378)  | |
| Enumeration Date | 2009-08-24 | 
| Last Update Date | 2023-06-09 |