| NPI | 1871139758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 1801993) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH 1801993) |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2019-11-26 |