| NPI | 1225525207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162161) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.170014) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162079) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.166815) | |
| 101YM0800X Counselor, Mental Health (Licence: OH C.2002199-TRNE) | |
| 101YP2500X Counselor, Professional (Licence: OH C.2103551) | |
| 101YP2500X Counselor, Professional (Licence: OH E.2404063) | |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2024-11-01 |