| NPI | 1629052865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 976195) |
| 104100000X Social Worker (Licence: OH S0015182) | |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2024-08-28 |