| NPI | 1851895320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2507161) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I.2507161) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162500) | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2026-05-27 |