| NPI | 1689713174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I0002798) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH E0000325) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2010-12-16 |