| NPI | 1154757714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH I.1600799) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH S.1302606) |
| 101YM0800X Counselor, Mental Health (Licence: OH S.1302606) | |
| 101YM0800X Counselor, Mental Health (Licence: OH I.1600799) | |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2016-12-01 |