| NPI | 1316560352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2106471) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 171027) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 175378) | |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2021-11-01 |