| NPI | 1396171534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.1100596) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA130496-PRE) |
| 106H00000X Marriage & Family Therapist (Licence: OH M.1300007) | |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2013-09-19 |