| NPI | 1457861965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2403369-TRNE) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH LCDCIII.162144) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.164169) | |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2024-02-06 |