| NPI | 1639563984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH LSW#521302) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH PCC#E318) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |