| NPI | 1831504422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 131044) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1303601) |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |