NPI | 1629590526 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1901519) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161993) |
101YM0800X Counselor, Mental Health (Licence: OH C.1700541) | |
Enumeration Date | 2017-07-12 |
Last Update Date | 2022-11-11 |