| NPI | 1578969846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1000662) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.110764) |
| 101YM0800X Counselor, Mental Health (Licence: OH E.1000662) | |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2017-02-09 |