| NPI | 1447721352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH 1904190) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 168199) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2019-08-12 |