| NPI | 1487888947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH S0032078) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW20580) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 101030) | |
| 1041C0700X Social Worker Clinical (Licence: NH 2243) | |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2023-07-17 |