| NPI | 1518452135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2005642) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162466) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2025-07-21 |