| NPI | 1417927112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I0005315) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH I0005315) |
| 104100000X Social Worker (Licence: OH I0005315) | |
| 103K00000X Behavior Analyst (Licence: OH I0005315) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2010-02-01 |