| NPI | 1508028275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E0008398) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 001266) |
| 104100000X Social Worker (Licence: OH S19914) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |