| NPI | 1881949733 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2002004) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161429) |
| 104100000X Social Worker (Licence: OH S 30540) | |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2020-12-04 |