| NPI | 1528364411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH I.1502394) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1100123-TRNE) |
| 1041C0700X Social Worker, Clinical (Licence: OH S.1302596) | |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2015-11-23 |