| NPI | 1548718067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.021336) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 258344) |
| 104100000X Social Worker (Licence: OH 1500927) | |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2023-10-10 |