| NPI | 1265075311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.179292) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 179292) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2022-02-08 |