| NPI | 1548468440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I1700023) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: OH OTA-1722) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH I1700023) | |
| 101YM0800X Counselor, Mental Health (Licence: OH I1700023) | |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2017-03-10 |