| NPI | 1649481540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH 1.0010124) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 965748) |
| 164W00000X Licensed Practical Nurse (Licence: OH PN-049022) | |
| 171W00000X Contractor (Licence: OH 3115042) | |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2023-08-10 |