| NPI | 1801232319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S0020777) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2019-05-10 |