| NPI | 1487857611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 872369) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C2167) |
| 104100000X Social Worker (Licence: OH S4646) | |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-07-08 |