| NPI | 1255795852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.1200691-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LICDC.161088) |
| 101YM0800X Counselor Mental Health (Licence: OH E1200691) | |
| Enumeration Date | 2016-04-09 |
| Last Update Date | 2018-04-14 |