| NPI | 1962530667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E4409) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S0018331) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2011-12-27 |