| NPI | 1922451160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2102306) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH c.1901857) |
| 1041C0700X Social Worker, Clinical (Licence: OH S-1600824) | |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2021-06-02 |