| NPI | 1407332570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2002509) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH S.1802335) |
| 101YM0800X Counselor Mental Health (Licence: OH S.1802335) | |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2022-07-08 |