| NPI | 1619153459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I. 1200002 .Supv) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 976243) |
| 104100000X Social Worker (Licence: OH S0029141) | |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2023-09-12 |