| NPI | 1295210607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162473) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 111507) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2024-04-24 |