| NPI | 1144833930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 174350) |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2025-03-04 |