| NPI | 1356844856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.2507319) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC162716) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-03-12 |
| Last Update Date | 2025-07-22 |