| NPI | 1326237066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E-0002534) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 81623) |
| 104100000X Social Worker (Licence: OH S-0017471) | |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2007-10-27 |