| NPI | 1003160185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E.1100094) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA 111551) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 131196) | |
| 101YP2500X Counselor Professional (Licence: OH C 1100094) | |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2025-08-05 |