| NPI | 1811403801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH 1500019) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 130328) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2020-07-24 |