| NPI | 1679063895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH C.2305008) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.175301) |
| 101YM0800X Counselor, Mental Health (Licence: QMHS) | |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2023-06-08 |