| NPI | 1639763329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162305) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.181060) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.176913) | |
| 101YM0800X Counselor, Mental Health (Licence: OH C.2103087-TRNE) | |
| 101YP2500X Counselor, Professional (Licence: OH C.2204333) | |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2023-08-24 |