| NPI | 1386133148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 167556) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 106H00000X Marriage & Family Therapist (Licence: OH M1900148TRNE) | |
| 251S00000X | |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2024-12-12 |