| NPI | 1891068672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0009379-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161450-CS) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2019-08-21 |