| NPI | 1508175241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C1500901) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 151203) |
| 101Y00000X Counselor (Licence: OH C1500901) | |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2017-03-27 |