| NPI | 1780035014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I1901541) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH S1600123) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2019-05-22 |