| NPI | 1275079741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102545) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA169421) |
| 101Y00000X Counselor (Licence: OH C.1902207) | |
| 101YM0800X Counselor, Mental Health (Licence: OH E.2102545) | |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2024-01-12 |