| NPI | 1164978615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2506543) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801121075) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161785) | |
| Enumeration Date | 2016-08-25 |
| Last Update Date | 2025-11-02 |