| NPI | 1467857813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.131587) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: S.1100673) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |