| NPI | 1396233144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII161990) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.2002168) |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2021-04-02 |