| NPI | 1144680752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1801250-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161910) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2025-08-04 |