| NPI | 1043885106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2405867) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.174700) |
| 104100000X Social Worker (Licence: OH S.2207528) | |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2024-09-24 |