| NPI | 1073817110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I 0009357) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 091094) |
| 1041C0700X Social Worker Clinical (Licence: MI 6801083988) | |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2016-04-18 |