| NPI | 1467130252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2411641) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 186126) |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: OH 182543) | |
| Enumeration Date | 2023-07-11 |
| Last Update Date | 2024-11-13 |