| NPI | 1265448146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 965570) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH A11029) |
| 101YP2500X Counselor, Professional (Licence: OH E3139) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2022-05-16 |