| NPI | 1265920458 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161380) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH W.1700016) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.151837) | |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2024-11-01 |