NPI | 1821734153 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I1100026-SUPV) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH 1.1100026-SUPV) |
Enumeration Date | 2022-05-10 |
Last Update Date | 2022-10-24 |