NPI | 1174986855 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2303318) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162194) |
106H00000X Marriage & Family Therapist (Licence: OH F.2300315) | |
Enumeration Date | 2016-03-31 |
Last Update Date | 2023-03-02 |