| NPI | 1609367267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2203907) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162825) |
| 104100000X Social Worker (Licence: OH APP.000134562) | |
| Enumeration Date | 2018-05-19 |
| Last Update Date | 2025-04-24 |