| NPI | 1649673344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.1300708-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH ICDC.121153) |
| 101YM0800X Counselor, Mental Health (Licence: OH C.1300708) | |
| Enumeration Date | 2014-10-08 |
| Last Update Date | 2024-01-05 |