| NPI | 1679526321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.0031905) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LCDCIII.81177) |
| 101YM0800X Counselor Mental Health (Licence: OH S.0031905) | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2017-02-08 |