| NPI | 1649775909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2405988) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH S.2005159) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2024-10-30 |