| NPI | 1174972905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH 0700478) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH E0700478) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 151233) | |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2024-03-01 |