| NPI | 1285094755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1600727-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH S1200918) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161416) | |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2023-05-25 |