| NPI | 1912495912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH 1700078) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH CMS) |
| 104100000X Social Worker (Licence: OH S.1802717) | |
| 101YM0800X Counselor Mental Health (Licence: OH QMHS) | |
| Enumeration Date | 2018-04-25 |
| Last Update Date | 2025-03-26 |