| NPI | 1902129125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH I.0900368) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.0900368S) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2019-09-24 |