| NPI | 1497283600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S1700449) |
| 1041C0700X Social Worker, Clinical (Licence: OH S.1700449) | |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2023-06-01 |