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 |