| NPI | 1497207856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH LCDC.141151-3) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH S.2207343) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH S.2207343) | |
| 101YM0800X Counselor, Mental Health (Licence: OH S.2207343) | |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2022-03-23 |