| NPI | 1508365883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1700291-TRNE) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2019-06-04 |