| NPI | 1295864999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.0009898) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 131254) |
| 1041C0700X Social Worker, Clinical (Licence: OH I-0009898) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2022-05-10 |