| NPI | 1124337753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH I.0005144-SUPV) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH I 0005144) |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2016-07-06 |