| NPI | 1851698930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.0015218) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.0015218) |
| Enumeration Date | 2011-02-25 |
| Last Update Date | 2011-02-25 |