| NPI | 1356615371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: OH 080774) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH 080774) |
| 101YP1600X Counselor, Pastoral (Licence: OH Ordained) | |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2012-05-28 |