| NPI | 1558704296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1450457-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.070756) |
| 1041C0700X Social Worker, Clinical (Licence: OH S 0800762) | |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2021-03-03 |