| NPI | 1962169730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH s.2309798) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.178596) |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2023-09-11 |