| NPI | 1497257455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH S0900643) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH 0900643) |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2024-02-01 |