| NPI | 1972921609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH I.1440134) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH I.1440134) |
| Enumeration Date | 2014-03-31 |
| Last Update Date | 2022-08-15 |