| NPI | 1578997722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1200146-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CS.00000031) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161162) | |
| 101YM0800X Counselor, Mental Health (Licence: OH C.1200146-TRNE) | |
| 101YP2500X Counselor, Professional (Licence: OH LE-00024235) | |
| 101YP2500X Counselor, Professional (Licence: OH C.1200146) | |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2025-06-19 |