| NPI | 1336183359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I0004506) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 862270) |
| 1041C0700X Social Worker, Clinical (Licence: OH I4506) | |
| 1041C0700X Social Worker, Clinical (Licence: OH 862270) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2011-12-13 |