| NPI | 1114422029 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH C.1700758-TRNE) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.120458) |
| Enumeration Date | 2018-03-25 |
| Last Update Date | 2018-03-25 |