NPI | 1063915064 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2504478-TRNE) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 164139) |
Enumeration Date | 2018-03-15 |
Last Update Date | 2025-08-26 |