| NPI | 1558977975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2405301) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2107180) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA164871) | |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2024-06-22 |