| NPI | 1730656224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDClll-081236) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S-0015710) |
| 405300000X Prevention Professional (Licence: OH 0429-S90) | |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2018-11-01 |