| NPI | 1144702440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1800986-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH E1800986) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC161884) | |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2024-06-12 |