| NPI | 1053534537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 913133) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH 16099) |
| 101YP2500X Counselor, Professional (Licence: OH E2147) | |
| 104100000X Social Worker (Licence: OH S6906) | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2007-07-08 |