| NPI | 1821494469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 954159) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S 0012385) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2014-11-10 |