| NPI | 1194149518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH ICDC.111076) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH S.1100272) |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2019-12-16 |