| NPI | 1568440048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S-0021574) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH I.0010155) |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2026-06-11 |