| NPI | 1376080978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1600071) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH E0004110-SUPV) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC-954353) | |
| Enumeration Date | 2017-01-21 |
| Last Update Date | 2020-12-26 |