| NPI | 1639667892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.173576) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: QMHS) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2023-10-30 |