| NPI | 1154969301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH 101YA0400X) |
| 104100000X Social Worker (Licence: OH S-0019223) | |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2023-10-27 |