| NPI | 1689128969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH E.2102397-SUPV) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LICDC.161935) |
| 101YP2500X Counselor, Professional (Licence: OR C6623) | |
| 221700000X Art Therapist (Licence: ATCB.22.025) | |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2025-11-08 |