| NPI | 1679843528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH C.2405892) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.177598) |
| 225700000X Massage Therapist (Licence: OH 12416) | |
| 101200000X | |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2024-05-14 |