| NPI | 1699290262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 254486) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH I.1200905-SUPV) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.1200905-supv) | |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2024-10-08 |