| NPI | 1518097856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 981037) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH L0005811) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |