| NPI | 1578045951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2308878) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 103410) |
| Enumeration Date | 2018-09-03 |
| Last Update Date | 2025-04-02 |