| NPI | 1447797220 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.0010199) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH S.0010199) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.923222) | |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-02-08 |