| NPI | 1386133148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 167556) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: OH M1900148TRNE) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2021-11-19 |