| NPI | 1093833436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 933765) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S0021798) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2007-07-09 |