| NPI | 1902316581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH 1904468) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 161925) | |
| 1041C0700X Social Worker, Clinical (Licence: OH 2203945) | |
| Enumeration Date | 2017-10-09 |
| Last Update Date | 2022-10-11 |