| NPI | 1780278051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1701732) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S.1701732) |
| Enumeration Date | 2021-02-26 |
| Last Update Date | 2021-03-04 |