| NPI | 1679073977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WV AP00944201) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S.1701334) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2019-01-10 |