| NPI | 1730771593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2304248) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH LCDCII.161488) |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2023-07-24 |