| NPI | 1306384953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LICDCIII.141269) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH S.1302487) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |