| NPI | 1528574506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND LICDC.162295) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII161919) |
| 1041C0700X Social Worker, Clinical (Licence: OH S.2208232) | |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2023-04-20 |