| NPI | 1205373818 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34006716A) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IN 86000326A) |
| 1041C0700X Social Worker Clinical (Licence: OH I.1700186-SUPV) | |
| Enumeration Date | 2017-01-22 |
| Last Update Date | 2022-07-21 |