| NPI | 1669991766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH 1700160) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 161785) |
| 101YM0800X Counselor, Mental Health (Licence: OH 1700160) | |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2021-12-01 |