| NPI | 1639534555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.0800184) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDC.101039-3) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161926) | |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2023-05-16 |