| NPI | 1033683693 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2304367)  | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.168958)  | 
| 1041C0700X Social Worker, Clinical (Licence: OH S.1904058)  | |
| Enumeration Date | 2019-01-17 | 
| Last Update Date | 2023-08-07 |