| NPI | 1235486796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1303185) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.131172) |
| 104100000X Social Worker (Licence: OH S1101198) | |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2018-10-08 |