| NPI | 1497179097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH OHI-30-8602) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I.0005593) |
| Enumeration Date | 2014-02-18 |
| Last Update Date | 2014-02-18 |