| NPI | 1427432145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L12109) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA. 131538) |
| 104100000X Social Worker (Licence: OH S. 1450288) | |
| 104100000X Social Worker (Licence: OH I.1800931-SUPV) | |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2023-04-21 |