| NPI | 1760891592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1801320) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 101189) |
| 104100000X Social Worker (Licence: OH S.1303221) | |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2019-01-29 |