| NPI | 1699286351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.1501083) |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2019-01-10 |