| NPI | 1679943922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH E.2001753) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL ADC-009178-2015) |
| 101YM0800X Counselor, Mental Health (Licence: FL MH13530) | |
| 101YP2500X Counselor, Professional (Licence: OH E2001753) | |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2024-05-31 |