| NPI | 1861812703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCSW70538) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH ICDC.131175) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.1302991) | |
| Enumeration Date | 2014-04-18 |
| Last Update Date | 2017-07-20 |