| NPI | 1326269556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.0500149.SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 061001) |
| 101YP2500X Counselor, Professional (Licence: OH C.0500149.CR) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2015-02-24 |