| NPI | 1144589805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0701116) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 061049) |
| 101YP2500X Counselor, Professional (Licence: OH C0701116) | |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2022-08-13 |