| NPI | 1710069976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: S.0017293) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH E0004001) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-02-20 |