| NPI | 1790387934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH 2208511) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 174247) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 177374) | |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2022-11-11 |