| NPI | 1518461193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.2207290) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDC111.162363) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2023-10-11 |