| NPI | 1063053668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.130161) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2005695) |
| Enumeration Date | 2019-10-04 |
| Last Update Date | 2021-08-03 |