| NPI | 1891205449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH LCDCIII.981080) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0005162) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |