| NPI | 1164847307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2105976) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.100633) |
| 1041C0700X Social Worker, Clinical (Licence: OH S-1430052) | |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2023-04-07 |