| NPI | 1407121510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.1000059-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH E.1000059-SUPV) |
| 101YM0800X Counselor Mental Health (Licence: OH E.1000059-SUPV) | |
| 104100000X Social Worker | |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2020-11-22 |