| NPI | 1376821348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2203023) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH 0501110) |
| 101Y00000X Counselor (Licence: OH C0501110) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 021164) | |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2024-03-18 |