| NPI | 1093304511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2405876) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LICDC.162443) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2025-05-21 |