| NPI | 1356978035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162780) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH QMHS) |
| 1041C0700X Social Worker, Clinical | |
| 101Y00000X Counselor (Licence: OH C.2304628-TRNE) | |
| Enumeration Date | 2020-03-24 |
| Last Update Date | 2025-02-28 |