| NPI | 1437762200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2106341) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.177338) |
| 104100000X Social Worker (Licence: OH 2001455) | |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2021-08-13 |