| NPI | 1609496280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2005525) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.162673) |
| 1041C0700X Social Worker, Clinical (Licence: OH S.2005525) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2021-08-30 |