| NPI | 1912414517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162243) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.163752) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161708) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.172440) | |
| 104100000X Social Worker (Licence: OH W.1800091) | |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2023-09-07 |