| NPI | 1003275652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.0013326) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH ICDC991726) |
| 101YP2500X Counselor, Professional (Licence: OH E.080003LPCC) | |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2022-04-02 |