| NPI | 1598300352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.1302478-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH I.1302478-SUPV) |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2023-10-24 |