| NPI | 1215143557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E0500088) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C. 0500088) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 151096) | |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2025-02-26 |