| NPI | 1356713838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2202721) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.991516) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 991516) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH ICDC991516I) | |
| 101YM0800X Counselor, Mental Health (Licence: OH c1300406) | |
| Enumeration Date | 2015-10-23 |
| Last Update Date | 2022-03-16 |