| NPI | 1528386661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1700442) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.0022600) |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2021-07-23 |