| NPI | 1710336896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1801043) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.161563) |
| 104100000X Social Worker (Licence: OH S.1600353) | |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2018-06-23 |