| NPI | 1912444514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.2304748-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CS.00001705) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.121005) | |
| Enumeration Date | 2017-01-21 |
| Last Update Date | 2025-09-16 |