| NPI | 1770686768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1000002-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0000092) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2019-05-23 |