| NPI | 1083195796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2001904) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1801141) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161705) | |
| Enumeration Date | 2018-08-22 |
| Last Update Date | 2023-11-03 |