| NPI | 1255873428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.1800929) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1600666-TRNE) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2016-11-05 |
| Last Update Date | 2020-10-09 |