| NPI | 1578922845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 141003) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S1502345) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2017-03-01 |