| NPI | 1720580525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.1701541) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH S.1701541) |
| 101YM0800X Counselor, Mental Health (Licence: OH S.1701541) | |
| Enumeration Date | 2018-03-07 |
| Last Update Date | 2018-03-07 |