| NPI | 1730625138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2103229) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S.1710011-TRNE) |
| 104100000X Social Worker (Licence: OH S.1903742) | |
| Enumeration Date | 2017-01-10 |
| Last Update Date | 2024-01-16 |