| NPI | 1558692020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH C.0003862) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OH C.0003862) |
| 101YP2500X Counselor, Professional (Licence: OH C3862) | |
| Enumeration Date | 2010-01-23 |
| Last Update Date | 2018-03-17 |