| NPI | 1720208622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0002756-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 981149) |
| 104100000X Social Worker (Licence: OH S 0014236) | |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2024-06-13 |