| NPI | 1588173132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.141226) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S0021690) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2023-08-21 |