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 |