| NPI | 1508269895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH 0800386) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 0800386) |
| 101YM0800X Counselor Mental Health (Licence: OH 0800386) | |
| 101YP1600X Counselor Pastoral (Licence: OH 0800386) | |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |