| NPI | 1508426214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LCDCII.162080) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.170958) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.175350) | |
| 101YM0800X Counselor Mental Health (Licence: OH QMHS.HSGED) | |
| Enumeration Date | 2019-06-14 |
| Last Update Date | 2025-04-07 |