| NPI | 1255521571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 933610) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S 0016144) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2007-10-27 |