| NPI | 1679080279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161899) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.166965) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.163903) | |
| 101YM0800X Counselor, Mental Health (Licence: OH QMHS.ASSOCIATES) | |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2023-08-04 |