| NPI | 1811347487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S 1302439) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH 12358OH) |
| Enumeration Date | 2016-06-15 |
| Last Update Date | 2021-09-16 |