| NPI | 1851860381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 161392) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH 1601077) |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |