| NPI | 1467806240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.1700475-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 1502574) |
| 101YM0800X Counselor Mental Health (Licence: OH 1502574) | |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2022-03-23 |