| NPI | 1760859961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH S.1201070) |
| 101YM0800X Counselor, Mental Health (Licence: OH S.1201070) | |
| 104100000X Social Worker (Licence: OH S1201070) | |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2021-04-20 |