| NPI | 1316481948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH I.2002530) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1000269) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162279) | |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2021-12-14 |