| NPI | 1689187577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S.2309305) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 161648) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 120878) | |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2024-03-19 |