| NPI | 1457945560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2309341) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH 176059) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA176059) | |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2023-07-03 |