| NPI | 1376775106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1200935.SUPV) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 5596) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH ICDC.151248-CS) | |
| Enumeration Date | 2009-08-12 |
| Last Update Date | 2016-01-13 |