| NPI | 1568935625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S.1201493) |
| Enumeration Date | 2019-01-10 |
| Last Update Date | 2019-11-07 |