| NPI | 1265971469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.150-0980) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161342) |
| 1041C0700X Social Worker, Clinical (Licence: MD 20712) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904008923) | |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50080434) | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW9607) | |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |