| NPI | 1689187510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH LCDCII.161356) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH CDCA.090419) |
| 101YM0800X Counselor Mental Health (Licence: OH QMHS.ASSOCIATES) | |
| Enumeration Date | 2017-11-14 |
| Last Update Date | 2024-01-11 |