| NPI | 1669507075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E0020178) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH E0020178) |
| 104100000X Social Worker (Licence: OH S 0020178) | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2021-08-20 |