| NPI | 1861732059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S 1200452) |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: OH OH 3112354) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2018-09-21 |