| NPI | 1831159383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 872391) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E4104) |
| 104100000X Social Worker (Licence: OH S12751) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2008-06-04 |