| NPI | 1033269865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 954238) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH S6527) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2007-07-08 |