| NPI | 1538114111 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E-0000902)  | 
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I-0002152)  | 
| Enumeration Date | 2006-05-23 | 
| Last Update Date | 2025-09-11 |