| NPI | 1992246235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.164567) | |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2024-01-11 |