| NPI | 1902381478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA167797) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1903654) |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2019-11-06 |