| NPI | 1114421468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2405731) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.168743) |
| 104100000X Social Worker (Licence: OH I.2405731) | |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2024-08-21 |