| NPI | 1992219182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KY LICDC.162498) |
| Additional Taxonomies | 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 | 2023-11-09 |