| NPI | 1669725107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.0701072) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 091117) |
| 101YM0800X Counselor, Mental Health (Licence: OH E 0701072) | |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2019-09-10 |