| NPI | 1487720074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I0010057) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH I0010057) |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2021-06-27 |