| NPI | 1568897346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.0602084-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0023014) |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2022-06-22 |