| NPI | 1982148730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1300082) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.111003) |
| 104100000X Social Worker (Licence: OH S.0800395) | |
| Enumeration Date | 2016-12-13 |
| Last Update Date | 2016-12-13 |