| NPI | 1114309994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.160336-PRE) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C1500355) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2016-07-28 |