| NPI | 1326475245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E.1901479) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH C.1300586-TRNE) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health (Licence: KY LPCCCA00218258) | |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2019-12-09 |