| NPI | 1932228020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E 0001046) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 82836) |
| 104100000X Social Worker (Licence: OH S 0003100) | |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2007-07-12 |