| NPI | 1902886989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH I8278) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I8278) |
| Enumeration Date | 2006-01-18 |
| Last Update Date | 2012-03-08 |