| NPI | 1871822569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I2002193) |
| 101YM0800X Counselor, Mental Health (Licence: OH I2002193) | |
| 1041C0700X Social Worker, Clinical (Licence: OH I2002193-SUPV) | |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2025-04-25 |