| NPI | 1790896405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH 0008749) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 923289) |
| 1041C0700X Social Worker, Clinical (Licence: WV DP00944461) | |
| 1041C0700X Social Worker, Clinical (Licence: KY 3537) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2015-07-28 |