NPI | 1235738741 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162615) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 262182) |
106H00000X Marriage & Family Therapist (Licence: KY 283958) | |
Enumeration Date | 2020-10-26 |
Last Update Date | 2025-08-07 |