| NPI | 1457859316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.1800868) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA LMHC10002055) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH E.1800868) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MA LMHC10002055) | |
| Enumeration Date | 2018-01-25 |
| Last Update Date | 2024-06-20 |