| NPI | 1184132862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2304666) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 164425) |
| 104100000X Social Worker (Licence: OH S.1904231) | |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2023-07-26 |