| NPI | 1801282702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041S0200X Social Worker School (Licence: OH S.0901022) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 001285) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-04-08 |