| NPI | 1487968798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1302150) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH S.0901113) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2013-03-26 |