| NPI | 1548827116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LICDC.162370) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: OH S.2106699) |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2024-08-28 |