| NPI | 1558854430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OH C.1801456) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OH C1700629-TRNE) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA164550) | |
| 101YP2500X Counselor, Professional (Licence: OH M.1800082) | |
| 101YP2500X Counselor, Professional (Licence: OH M1700076-TRNE) | |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2019-01-18 |