| NPI | 1508117607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.0800751) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.0800304) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2012-09-28 |