| NPI | 1437510336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.0900436) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161378) |
| 101Y00000X Counselor (Licence: GA LPC013959) | |
| Enumeration Date | 2016-03-19 |
| Last Update Date | 2024-05-23 |