| NPI | 1063981124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.110647) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 110647) |
| 104100000X Social Worker (Licence: OH SH813729) | |
| Enumeration Date | 2018-11-19 |
| Last Update Date | 2021-11-03 |