| NPI | 1992296651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: OH W.2300368) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 140412) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2024-02-06 |