| NPI | 1205342573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161824) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1700503) |
| 101YM0800X Counselor, Mental Health (Licence: OH C.1600020-TRNE) | |
| 101YP2500X Counselor, Professional (Licence: OH E.2102411-SUPV) | |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2023-10-23 |