| NPI | 1417194150 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C0500356) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH C 0500356) |
| 101YM0800X Counselor, Mental Health (Licence: OH C 0500356) | |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-12-11 |