| NPI | 1619476959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 161167) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH W.1600012) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2023-10-30 |