| NPI | 1205265188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH C.1700191) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.1700191) |
| 101YP2500X Counselor, Professional (Licence: OH C.1700191) | |
| 104100000X Social Worker (Licence: OH S.0024565) | |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2018-05-14 |