| NPI | 1518473438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 080493) |
| 225C00000X Rehabilitation Counselor (Licence: OH 00218525) | |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |