| NPI | 1477826428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E0900393) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S28836) |
| Enumeration Date | 2012-02-21 |
| Last Update Date | 2020-04-09 |