| NPI | 1225166929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 954467) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S-0006172) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2016-08-18 |