| NPI | 1174088926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.0600103-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH LCDCIII.141021) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC162107) | |
| 104100000X Social Worker (Licence: OH I.0600103-SUPV) | |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2021-11-17 |