| NPI | 1518743467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 405300000X Prevention Professional (Licence: OH 161500) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH 2303070-TRNE) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.185866) | |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2023-09-22 |