| NPI | 1427361500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 981384) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH 22869) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 0910-C02) | |
| 101YP2500X Counselor, Professional (Licence: OH 601948) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 701089) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 167) | |
| 1041C0700X Social Worker, Clinical (Licence: OH S.0016370) | |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2010-07-22 |