| NPI | 1710197173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I1450832SUPV) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: MS c6874) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2022-10-11 |