| NPI | 1538542097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2102678) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C15000630) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA162724) | |
| 101YM0800X Counselor, Mental Health (Licence: OH C1500630) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2022-07-21 |