| NPI | 1710235809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I1303634) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH S0025898) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2020-01-20 |