| NPI | 1306205190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2102196) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162067) |
| 101YM0800X Counselor, Mental Health (Licence: OH C.1300627) | |
| 101YP2500X Counselor, Professional (Licence: OH c.1300627) | |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2021-04-05 |