| NPI | 1750324422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I 0900301) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 091038) |
| 101YM0800X Counselor Mental Health (Licence: OH I 0900301) | |
| 103K00000X Behavior Analyst (Licence: OH I 0900301) | |
| 106H00000X Marriage & Family Therapist (Licence: OH I 0900301) | |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2022-08-17 |