| NPI | 1689211559 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I-2002443) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S.0801067) |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2025-06-24 |