| NPI | 1003160185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1100094) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C 1100094) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA 111551) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 131196) | |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2023-10-16 |