| NPI | 1932240538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OH S-0005803) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH E-0002960) |
| 101YM0800X Counselor, Mental Health (Licence: OH E-0002960) | |
| 101YP2500X Counselor, Professional (Licence: OH E-0002960) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2025-09-11 |