| NPI | 1487152625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2107171) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162373) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.165748) | |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2022-07-15 |