| NPI | 1679953079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2303419) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 141298) |
| 101YM0800X Counselor, Mental Health (Licence: OH c1300340) | |
| 104100000X Social Worker (Licence: OH S 1302965) | |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2023-03-24 |