| NPI | 1609148824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1800659-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA120077) |
| 101YP2500X Counselor, Professional (Licence: OH E1800659) | |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2023-05-15 |