| NPI | 1972960953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S. 1502028) |
| 104100000X Social Worker (Licence: KY 3843) | |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2019-05-09 |