| NPI | 1447506647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: E.1100244) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH C.1100244) |
| 101YP2500X Counselor, Professional (Licence: OH C.1100244) | |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2019-03-10 |