| NPI | 1518478999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LCDCII.161804) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.163849) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.166968) | |
| 101YM0800X Counselor Mental Health (Licence: OH C.2304875-TRNE) | |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2023-09-29 |