| NPI | 1548829906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2204030) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH 1903849) |
| 104100000X Social Worker (Licence: OH S.1903849) | |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2022-12-29 |