| NPI | 1699320192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2102911-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.141088) |
| 104100000X Social Worker (Licence: OH S.1500663) | |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2024-08-02 |