| NPI | 1609374370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2203705) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH S0600294) |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2022-06-21 |