| NPI | 1356848410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1800967-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161313) |
| 101YM0800X Counselor, Mental Health (Licence: OH C.1500438) | |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2021-06-11 |