| NPI | 1306081922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA 106435) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.091107) |
| 1041C0700X Social Worker, Clinical (Licence: OH I.0700447) | |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2024-12-18 |