| NPI | 1831688670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002379) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH S.1700504) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2020-12-01 |