| NPI | 1841789252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 976174) |
| Additional Taxonomies | 104100000X Social Worker (Licence: OH S0027710) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-02 |