| NPI | 1043939796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2608722) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.181721) |
| 104100000X Social Worker (Licence: OH S.2202708-TRNE) | |
| Enumeration Date | 2022-08-25 |
| Last Update Date | 2026-09-11 |