| NPI | 1972088961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2208261) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161729) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.167840) | |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2023-03-27 |