| NPI | 1306377676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0002669-S) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH 0002669) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 912977) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2024-02-28 |