| NPI | 1275383820 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH I.2304831)  | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH I.2304831)  | 
| 101YM0800X Counselor, Mental Health (Licence: OH I.2304831)  | |
| Enumeration Date | 2024-03-26 | 
| Last Update Date | 2024-03-26 |