| NPI | 1609336122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2002653) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1000241) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2021-03-30 |