| NPI | 1164067047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2103269) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.170538) |
| 101YM0800X Counselor, Mental Health (Licence: OH C.1901670-TRNE) | |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2024-04-09 |