| NPI | 1144897299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.187072) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.2304740-TRNE) |
| 101YP2500X Counselor, Professional (Licence: OH C.2405945) | |
| Enumeration Date | 2021-06-08 |
| Last Update Date | 2024-05-31 |