| NPI | 1003149808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH EO8331) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 991819) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH E08331-5) | |
| 101YP2500X Counselor Professional (Licence: OH EO8331) | |
| Enumeration Date | 2009-09-10 |
| Last Update Date | 2020-12-28 |