| NPI | 1932112935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH I.0030379-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.081195) |
| 1041C0700X Social Worker, Clinical (Licence: OH I 0030379) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2024-02-09 |