| NPI | 1952785206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E.0002310) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0010878) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-07-16 |