| NPI | 1932790169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 522251) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| Enumeration Date | 2021-01-30 |
| Last Update Date | 2021-12-08 |