| NPI | 1265931745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162665) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.111413) |
| 101YM0800X Counselor, Mental Health (Licence: OH QMHSPLUS3) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161432) | |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2024-11-22 |