| NPI | 1164924882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH S.1201531) |
| 101YM0800X Counselor, Mental Health (Licence: OH S.1201531) | |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2019-02-22 |