| NPI | 1558887828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162216) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.163715) |
| 1041S0200X Social Worker, School (Licence: OH S2106110) | |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2022-07-21 |