| NPI | 1750832135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH I.0009969-S) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2023-09-20 |