| NPI | 1073062758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2203186) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 975984) |
| 101YM0800X Counselor, Mental Health (Licence: OH C1600130) | |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2022-12-07 |