| NPI | 1922439033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH I1600123) |
| Additional Taxonomies | 225A00000X Music Therapist (Licence: OH 04061) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 130135) | |
| Enumeration Date | 2013-11-29 |
| Last Update Date | 2016-07-25 |