| NPI | 1013593821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.2607760) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: OH S.2106186) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.176203) | |
| 1041C0700X Social Worker, Clinical (Licence: OH I.2607760) | |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2026-07-23 |