| NPI | 1194242792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2204124) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 161376) |
| 104100000X Social Worker (Licence: OH S1700154) | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2023-03-03 |