| NPI | 1871577791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 011369) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I0019560) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2007-07-08 |