| NPI | 1417434127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.2308973) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY CDCA.167867) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII162035) | |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2023-04-11 |