| NPI | 1891213294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I.2506872) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LICDC.162430) |
| 104100000X Social Worker (Licence: OH 1600701) | |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2025-07-22 |