| NPI | 1598187056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102142) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39003048A) |
| 101Y00000X Counselor (Licence: IN 39003048A) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 39003048A) | |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2026-02-24 |