| NPI | 1679854384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2001829) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: OH C.1000454) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 110327) | |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2020-08-17 |