| NPI | 1629611421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162692) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH S.2207437) |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2025-01-06 |