| NPI | 1205378189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2002184-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LICDC.161668) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 141240) | |
| 1041C0700X Social Worker Clinical (Licence: OH S1450917) | |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2025-08-04 |