| NPI | 1043779689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162372) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.168975) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.172149) | |
| 101YM0800X Counselor, Mental Health (Licence: OH QMHS-Bachelors) | |
| 104100000X Social Worker (Licence: OH S.2202762-TRNE) | |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2023-08-22 |