| NPI | 1548662711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0701173-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0600641) |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2014-09-19 |