| NPI | 1346740107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 260039) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162805) |
| 1041C0700X Social Worker, Clinical (Licence: OH S.2410310) | |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2026-09-23 |