| NPI | 1295256436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2203379) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.163917) |
| 104100000X Social Worker (Licence: OH S.1302556) | |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2022-11-29 |