| NPI | 1942746987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.0002170-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0013062) |
| Enumeration Date | 2017-01-15 |
| Last Update Date | 2017-03-08 |