| NPI | 1679289599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1303660) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S.1303660) |
| 1041C0700X Social Worker, Clinical (Licence: OH S.1303660) | |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2024-05-28 |