| NPI | 1326586660 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 964531) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH s.0030087) |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2022-01-10 |