| NPI | 1245803824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH S.2308952) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162604) |
| 101YM0800X Counselor, Mental Health (Licence: OH S.2308952) | |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2024-06-03 |