| NPI | 1770568701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E 0002479) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 021106) |
| 1041C0700X Social Worker Clinical (Licence: OH S 0004990) | |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2023-07-07 |