| NPI | 1760403232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E-0003813) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 981392) |
| 104100000X Social Worker (Licence: OH S-0017842) | |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2009-07-17 |