| NPI | 1831336635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161397) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S0031994) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2020-03-26 |