| NPI | 1477672202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH E2563) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E.0002563-SUPV) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2022-04-28 |