| NPI | 1376062463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 161757) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII151091) |
| 101YM0800X Counselor, Mental Health (Licence: OH LPC1901744) | |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2020-01-21 |