| NPI | 1285923805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.0009353) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 862271) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2017-03-30 |