| NPI | 1760550032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH 1.2203720) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY Ky-1499) |
| Enumeration Date | 2006-12-02 |
| Last Update Date | 2022-07-09 |