| NPI | 1407188550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E0900057) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 162155) |
| 101YP2500X Counselor, Professional (Licence: OH C.0900057) | |
| Enumeration Date | 2010-01-30 |
| Last Update Date | 2021-08-31 |