| NPI | 1568021277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH I.2506258-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1900902-TRNE) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2506258-SUPV) | |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2026-07-16 |