| NPI | 1003329228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.2106096) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 162016) |
| 104100000X Social Worker (Licence: OH 2106096) | |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2024-05-28 |