| NPI | 1497255343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH I.2102892) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1302602) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2022-10-27 |