| NPI | 1457851792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH 1903309) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S.1903309) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 164574) | |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2021-06-02 |