| NPI | 1619335296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: OH E.2303852) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 151218) |
| 101YM0800X Counselor Mental Health (Licence: OH C0900607) | |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2023-11-27 |