| NPI | 1871117994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH S.2106199) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.170618) | |
| 104100000X Social Worker (Licence: OH S.2106199) | |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2025-01-03 |