| NPI | 1558808154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2001748) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.131087-CS) |
| 101YP2500X Counselor, Professional (Licence: OH C.1700474) | |
| Enumeration Date | 2017-01-21 |
| Last Update Date | 2020-06-09 |