| NPI | 1649594524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E0001956) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 981155) |
| 104100000X Social Worker (Licence: OH S0013448) | |
| Enumeration Date | 2010-03-20 |
| Last Update Date | 2010-03-20 |