| NPI | 1154948677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2303695) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.173969) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162268) | |
| 101YM0800X Counselor, Mental Health (Licence: OH C.2002523-TRNE) | |
| 101YP2500X Counselor, Professional (Licence: OH C.2103476) | |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2023-08-07 |