| NPI | 1629562202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S1701767) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH CDCA140305) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-06-18 |