| NPI | 1790176477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.1501440-S) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH S.1302747) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 141084) | |
| 101YM0800X Counselor, Mental Health (Licence: OH S.1302747) | |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2019-03-21 |