| NPI | 1255004941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.186358) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.181844) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2023-11-06 |