| NPI | 1326224288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY LCSW 3952) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH LSW-09000933) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDC III- 101140) | |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2014-09-30 |