| NPI | 1366643033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.002993-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.001103) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2021-06-11 |