| NPI | 1497171805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1440092) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH I.1440092) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2024-03-13 |