| NPI | 1467074120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2614179) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: OH OCPSA.162603) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.177263) | |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2026-06-23 |