| NPI | 1043842511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1903299) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH .161567) |
| Enumeration Date | 2020-02-12 |
| Last Update Date | 2020-02-12 |