| NPI | 1205341633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH I1302879) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 121150) |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2021-05-19 |