| NPI | 1306130166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: OH E.1100027-SUPV) |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services (Licence: OH E.1100027-SUPV) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: OH E.1100027-SUPV) | |
| 261QM0850X Clinic/Center, Adult Mental Health (Licence: OH E.1100027-SUPV) | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: OH E.1100027-SUPV) | |
| 261QM2500X Clinic/Center, Medical Specialty (Licence: OH E.1100027-SUPV) | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical (Licence: OH E.1100027-SUPV) | |
| 261QC1500X Clinic/Center, Community Health (Licence: OH E.1100027-SUPV) | |
| 101Y00000X Counselor (Licence: OH C.1100027-TRNE) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH E.1100027-SUPV) | |
| 207P00000X Emergency Medicine (Licence: OH E.1100027-SUPV) | |
| 251B00000X Case Management (Licence: OH E.1100027-SUPV) | |
| Enumeration Date | 2011-06-08 |
| Last Update Date | 2021-10-04 |