| NPI | 1528577236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.1902310) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1701710) |
| 1041C0700X Social Worker, Clinical (Licence: OH S.1701710) | |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2023-05-10 |