| NPI | 1093985178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LICDC.933544) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: OH E.0004860-SUPV) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2016-09-19 |