| NPI | 1306386743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.1500296) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 151214) |
| 101YM0800X Counselor, Mental Health (Licence: OH 1500296) | |
| Enumeration Date | 2017-03-05 |
| Last Update Date | 2021-07-04 |