| NPI | 1902313794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1700281) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2019-07-16 |