| NPI | 1710417142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH S0600776) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CS-R.88439) |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2017-06-18 |