| NPI | 1396395547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.2310029) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: QMHS) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.170774) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161629) | |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2024-12-17 |