| NPI | 1164978615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161785) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.2105998) |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2021-09-03 |