| NPI | 1922139963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH S-0000849) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: OH S-0000849) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2022-05-19 |