| NPI | 1063870954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E. 0008337) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 081155) |
| 101YP2500X Counselor, Professional (Licence: OH E0008337) | |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2022-06-23 |