| NPI | 1659441335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I-0001190) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 831029) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2018-05-04 |