| NPI | 1487906756 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0010081-Supv) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDC-011413-3) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2012-10-10 |