| NPI | 1407394794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161385) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.090039) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.121106) | |
| 104100000X Social Worker (Licence: OH I.2304595-SUPV) | |
| 104100000X Social Worker (Licence: OH S.1700175) | |
| 101YM0800X Counselor, Mental Health (Licence: OH S.1510081-TRNE) | |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2024-07-09 |