| NPI | 1710163647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E0002446) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 991719) |
| 104100000X Social Worker (Licence: OH S0020131) | |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2008-01-10 |