| NPI | 1114421468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2106697) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.168743) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.164808) | |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2021-09-03 |