| NPI | 1679665186 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E0007952) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 001241) |
| 101Y00000X Counselor (Licence: OH 228661) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2008-03-11 |