| NPI | 1750832762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2002089) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 001203) |
| 1041C0700X Social Worker, Clinical (Licence: OH S27811) | |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2021-09-28 |