| NPI | 1093197089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E 0004070 SUPV) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 981323) |
| 104100000X Social Worker (Licence: OH S 0019424) | |
| Enumeration Date | 2015-06-25 |
| Last Update Date | 2018-05-09 |