| NPI | 1528267622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E0007946) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH 00051709) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 021255) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-09-13 |