| NPI | 1326487745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1200211) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH C.1200211-CR) |
| 101YP2500X Counselor, Professional (Licence: OH C.1200211) | |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2015-01-28 |