| NPI | 1952726093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1500136) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH 1) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2015-06-07 |