| NPI | 1841684388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2002334-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 100779) |
| 101YM0800X Counselor Mental Health (Licence: OH I.2002334) | |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2023-08-21 |