| NPI | 1396262457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2304566-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LICDC.161943) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH PG.00000069) | |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2024-10-24 |