| NPI | 1710492855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH 1700080) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 164484) | |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2023-10-24 |