| NPI | 1861516569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S0014954) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 954183) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2025-10-27 |