| NPI | 1760777155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1200069) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 981334) |
| 1041C0700X Social Worker, Clinical (Licence: OH S0016700) | |
| Enumeration Date | 2011-06-14 |
| Last Update Date | 2023-04-14 |