| NPI | 1437771797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E.1700267-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 161057) |
| 101YP2500X Counselor Professional (Licence: OH E.1700267-SUPV) | |
| Enumeration Date | 2020-05-09 |
| Last Update Date | 2021-03-01 |