| NPI | 1265061337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162341) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.171920) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.175447) | |
| 101YM0800X Counselor, Mental Health (Licence: OH QMHS-MASTERS) | |
| Enumeration Date | 2020-04-02 |
| Last Update Date | 2023-08-14 |