| NPI | 1811305113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.0018802) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1100360) |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2014-07-30 |