| NPI | 1699212530 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1600482) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S.1600482) |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2023-11-14 |