| NPI | 1083074892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 5087) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH I.1303250.SUPV) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.1303250.SUPV) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 131094) | |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2021-04-08 |