| NPI | 1902285604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 110040) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S 1400017-TRNE) |
| Enumeration Date | 2015-05-27 |
| Last Update Date | 2015-05-27 |