| NPI | 1629584677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2207704) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.165548) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161576) | |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2022-06-07 |