| NPI | 1639975394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2506344) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CDCA.188353) |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-02-24 |