| NPI | 1518326495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1200118.SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH ICDC.121138) |
| 101YM0800X Counselor, Mental Health (Licence: OH E. 1200118 .SUPV) | |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2021-02-17 |