| NPI | 1659127462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.2411555) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH 187569) |
| Enumeration Date | 2024-04-24 |
| Last Update Date | 2025-03-05 |