| NPI | 1841506193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDC.131024-2) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH W-0900049) |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2013-03-12 |