| NPI | 1902303902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2103083) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.169817) |
| 104100000X Social Worker (Licence: OH S1302539) | |
| Enumeration Date | 2018-04-07 |
| Last Update Date | 2024-01-17 |