| NPI | 1508384249 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH 1801383) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161481) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH c.1801383) | |
| 101YM0800X Counselor, Mental Health (Licence: OH QMHS) | |
| 175T00000X Peer Specialist (Licence: OH per.00371) | |
| Enumeration Date | 2017-09-01 |
| Last Update Date | 2018-11-24 |