| NPI | 1144715574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E.2404022) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH C.1901804) |
| 251S00000X Community/Behavioral Health (Licence: OH C.1800952-TRNE) | |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2024-02-01 |