| NPI | 1235738741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162615) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 283958) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 262182) | |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2024-06-12 |