| NPI | 1487789707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 051022) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OH E0007374) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2007-07-08 |