| NPI | 1720402134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.0800073-CR) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0031334) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |