| NPI | 1548788417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH C.1700182) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161525) |
| 101YM0800X Counselor, Mental Health (Licence: OH QMHS) | |
| 101YM0800X Counselor, Mental Health (Licence: OH e.2001649) | |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2020-09-03 |