| NPI | 1033611249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.1800839) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LICDC.161787) |
| 1041C0700X Social Worker Clinical (Licence: IL 149.007326) | |
| Enumeration Date | 2018-03-03 |
| Last Update Date | 2019-11-24 |