| NPI | 1437660222 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1802675)  | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 161110)  | 
| Enumeration Date | 2017-10-19 | 
| Last Update Date | 2018-09-10 |