| NPI | 1245432269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.902802) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S0026067) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2017-12-01 |