| NPI | 1629407911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 292469) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.130897) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 274636) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH ADC.00000128) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.161165) | |
| 101YM0800X Counselor, Mental Health (Licence: OH C.2304729-TRNE) | |
| 101YM0800X Counselor, Mental Health (Licence: OH C.2406163) | |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2024-09-10 |