| NPI | 1629619184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LCDCII.161816) |
| 101YM0800X Counselor Mental Health (Licence: OH S.2410734) | |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2025-03-04 |