| NPI | 1891945788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E0002898) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 965776) |
| 1041C0700X Social Worker, Clinical (Licence: OH S0013519) | |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2008-09-26 |