| NPI | 1356854475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH 1600702) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 121070) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH licdc.161638) | |
| Enumeration Date | 2017-11-11 |
| Last Update Date | 2024-08-01 |