| NPI | 1669985263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 161453) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH QMHS) |
| 104100000X Social Worker (Licence: OH 1700756) | |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2022-02-23 |