| NPI | 1922295369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 071031) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1100206) |
| 104100000X Social Worker (Licence: OH S 0013594) | |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2018-04-24 |