| NPI | 1902466030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2506573) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH 1903337) |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2025-04-21 |