| NPI | 1952813792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.2204131) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1700177-TRNE) |
| 104100000X Social Worker (Licence: OH S.1903853) | |
| 101YM0800X Counselor, Mental Health (Licence: OH QMHS) | |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2023-02-13 |