| NPI | 1598192577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0500707 SUPV) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.0017131) |
| Enumeration Date | 2013-10-04 |
| Last Update Date | 2024-01-05 |