| NPI | 1497275663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2305256-TRNE) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C.2305256-TRNE) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 162966) | |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2024-04-18 |