| NPI | 1629145388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0003788-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH I0003788) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-03-02 |