| NPI | 1619467768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.167235) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH W.1800106) |
| Enumeration Date | 2018-05-15 |
| Last Update Date | 2020-05-18 |