| NPI | 1689805376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I0031096) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 071029) |
| 1041C0700X Social Worker Clinical (Licence: OH I. 0031096) | |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2012-01-25 |