| NPI | 1447721741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.0008991-SUPV) |
| Additional Taxonomies | 101YS0200X Counselor School (Licence: OH I.0008991-SUPV) |
| 1041S0200X Social Worker School (Licence: OH I.0008991-SUPV) | |
| Enumeration Date | 2018-12-12 |
| Last Update Date | 2019-01-14 |