| NPI | 1174578496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I0008251) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: OH I0008251) | |
| 1041C0700X Social Worker, Clinical (Licence: OH I8251) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 011008) | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2008-05-16 |