| NPI | 1932539830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1901761) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDC.131164-3) |
| 104100000X Social Worker (Licence: OH s.1201314) | |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2019-10-28 |