| NPI | 1639763329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH e.2404499) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.162305) |
| 101YP2500X Counselor, Professional (Licence: OH E.2404499) | |
| Enumeration Date | 2021-02-24 |
| Last Update Date | 2025-03-27 |