| NPI | 1356978035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2304628-TRNE) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.170709) | |
| 101YM0800X Counselor Mental Health (Licence: OH QMHS) | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2024-04-02 |