| NPI | 1043740079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 964492) |
| Additional Taxonomies | 101YP1600X Counselor Pastoral (Licence: OH 100761) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2017-06-13 |