| NPI | 1720576390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LCDCIII.162631) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA163656) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161934) | |
| 104100000X Social Worker (Licence: OH W.1900179) | |
| Enumeration Date | 2018-04-28 |
| Last Update Date | 2025-03-05 |