| NPI | 1629667019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.178128) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2021-01-11 |
| Last Update Date | 2023-02-23 |