| NPI | 1578120937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2304995-SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 106278) |
| 104100000X Social Worker (Licence: OH S.2105958) | |
| 1041C0700X Social Worker, Clinical (Licence: NC P016874) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C017095) | |
| 1041C0700X Social Worker, Clinical (Licence: TX 106278) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH S.1800515-TRNE) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162244) | |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2024-12-02 |