| NPI | 1245743137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH 2105863) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 162455) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 162146) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 166126) | |
| 101YM0800X Counselor, Mental Health (Licence: OH QMHS) | |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2024-04-08 |