| NPI | 1013993153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 18295) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH 000-E2217) |
| 104100000X Social Worker | |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2007-07-08 |