| NPI | 1831601061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH S.1701473) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 1701473) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 130671) | |
| 104100000X Social Worker (Licence: OH S.1701473) | |
| Enumeration Date | 2017-10-27 |
| Last Update Date | 2022-11-30 |