| NPI | 1174986855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.2303318-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LICDC.162194) |
| 106H00000X Marriage & Family Therapist (Licence: OH F.2300315-SUPV) | |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2025-06-18 |