| NPI | 1578882023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH ICDC.081139) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1451338) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2015-09-18 |