| NPI | 1376775460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C0500254) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 943864) |
| 104100000X Social Worker (Licence: OH S500570) | |
| Enumeration Date | 2009-08-22 |
| Last Update Date | 2010-04-26 |