| NPI | 1649631334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH C.1500358) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S0029434) |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2025-04-03 |