| NPI | 1417299306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1200078-SUPV) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH E.1200078-SUPV) | |
| 251S00000X (Licence: OH C.1200078) | |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2024-06-18 |