| NPI | 1609843127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E-0001870) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 964520) |
| 104100000X Social Worker (Licence: OH S-0014520) | |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2015-09-11 |