| NPI | 1730681719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2304321) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH S.1801954) |
| 104100000X Social Worker (Licence: OH S1801954) | |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2023-03-06 |