| NPI | 1942667779 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH LICDC.162168) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 150720) |
| 104100000X Social Worker (Licence: OH S1701513) | |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2024-10-17 |