| NPI | 1700070844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I-0009280) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH I 0009280) |
| 101YP2500X Counselor, Professional (Licence: OH I 0009280) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.011170) | |
| Enumeration Date | 2007-08-31 |
| Last Update Date | 2017-02-08 |