| NPI | 1679139158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2005583) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH CDCA.170287) |
| 251S00000X | |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2021-04-21 |