| NPI | 1043569890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I1450966) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH I 1450966) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL SW9250) | |
| 1041C0700X Social Worker, Clinical (Licence: FL sw9250) | |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2021-10-29 |