| NPI | 1154872117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 151002) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S1302707) |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2018-12-04 |