| NPI | 1457880775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH s.0031881) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 161098) |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2018-11-06 |