| NPI | 1407216625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH C.1200332) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.1200332) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LCDC.151069-3) | |
| 101YP2500X Counselor Professional (Licence: OH C.1200332) | |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2016-03-01 |