| NPI | 1164863742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I1000247-Supv) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH I1000247) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2017-02-02 |