| NPI | 1326599663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2002418-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LICDC161330) |
| 106H00000X Marriage & Family Therapist (Licence: OH S1600147) | |
| Enumeration Date | 2016-10-21 |
| Last Update Date | 2022-01-28 |