| NPI | 1407283849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH c0800125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH c 0800125) |
| 101Y00000X Counselor (Licence: OH E-1300055) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 111005) | |
| 101YM0800X Counselor, Mental Health (Licence: OH E1300055) | |
| 101YP2500X Counselor, Professional (Licence: OH E1300055) | |
| Enumeration Date | 2013-09-30 |
| Last Update Date | 2020-02-27 |