| NPI | 1992219182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: OH I.2506715) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY LICDC.162498) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.169643) | |
| 101YM0800X Counselor Mental Health (Licence: OH QMHS) | |
| 104100000X Social Worker (Licence: OH S.2208543) | |
| 1041C0700X Social Worker Clinical (Licence: OH S.2208543) | |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2025-05-23 |