| NPI | 1013434794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TN 5899) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII131054) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TN 1526) | |
| 101YP2500X Counselor, Professional (Licence: OH C2103159) | |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2024-05-30 |