| NPI | 1255472098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 001273) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH 50022849) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2015-02-23 |