| NPI | 1831635002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2102896) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161363) |
| 104100000X Social Worker (Licence: OH S 1201586) | |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2022-11-23 |