| NPI | 1063922326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2203516) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.100465) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH S100465) | |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2022-05-18 |