| NPI | 1700185865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2102561) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S.0029840) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2021-02-19 |