| NPI | 1215455407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0500616-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.131080) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 163258) | |
| 101YM0800X Counselor, Mental Health (Licence: OH E.0500616-SUPV) | |
| 101YM0800X Counselor, Mental Health (Licence: KY 103099) | |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2018-03-17 |