| NPI | 1235379546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW13771) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 101152) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.1100076) | |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2018-04-10 |