| NPI | 1467011635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S.2207630) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.178030) | |
| 104100000X Social Worker (Licence: OH S.2207630) | |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2023-07-12 |