| NPI | 1790966570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I 1000273) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: OH I 1000273) |
| 101Y00000X Counselor (Licence: OH I 1000273) | |
| 101YM0800X Counselor, Mental Health (Licence: OH I 1000273) | |
| 101YP2500X Counselor, Professional (Licence: OH I 1000273) | |
| 101YS0200X Counselor, School (Licence: OH I 1000273) | |
| 106H00000X Marriage & Family Therapist (Licence: OH I 1000273) | |
| 104100000X Social Worker (Licence: OH I 1000273) | |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2011-02-09 |