| NPI | 1538396775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E. 0600170 - Supv) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 101037 - Supv) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2021-08-05 |