| NPI | 1427595727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 943873) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S12692) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |