| NPI | 1235292020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I9159) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 991788) |
| 104100000X Social Worker (Licence: OH I9159) | |
| 1041S0200X Social Worker, School (Licence: OH I9159) | |
| 106H00000X Marriage & Family Therapist (Licence: OH I9159) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2015-06-09 |