NPI | 1427531334 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2102639-SUPV) |
Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH LCDCII.161682) |
Enumeration Date | 2018-09-07 |
Last Update Date | 2024-10-04 |