| NPI | 1831124718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 59673) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 981128) |
| 1041C0700X Social Worker, Clinical (Licence: OH I0007277) | |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2021-11-30 |