| NPI | 1437667045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH 1.2405366) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 161914) |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2024-11-02 |