| NPI | 1144459975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.001369) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.0009764) |
| Enumeration Date | 2009-07-14 |
| Last Update Date | 2019-12-13 |