| NPI | 1447570346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH I.0800300) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 981297) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2014-11-18 |