| NPI | 1306484084 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH C.2204662) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LICDC.162296) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.170883) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.173941) | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162214) | |
| 101YM0800X Counselor Mental Health (Licence: OH C.2103459-TRNE) | |
| Enumeration Date | 2019-12-13 |
| Last Update Date | 2023-09-12 |