| NPI | 1811404502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 161591) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH 1701620) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-01-04 |