| NPI | 1033633748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.090699) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2410309) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2024-03-15 |