| NPI | 1518264159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S25061) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S25061) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2011-02-17 |