| NPI | 1225318892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 021329) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E0004316) |
| 104100000X Social Worker (Licence: OH S0029278) | |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2011-08-26 |