| NPI | 1508394685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 161306) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH 1303360) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2017-06-01 |