| NPI | 1376129619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162540) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.180340) | |
| 104100000X Social Worker (Licence: OH S.2410264) | |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2024-01-10 |