| NPI | 1053852939 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.1700522-SUPV) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH S.1500612) |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: OH 161386) | |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2024-05-08 |