| NPI | 1578242152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2309607) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.186124) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2023-10-20 |