| NPI | 1538551734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH 0009193) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 081037) |
| 101YM0800X Counselor, Mental Health (Licence: OH 0009193) | |
| Enumeration Date | 2015-02-24 |
| Last Update Date | 2015-02-24 |