| NPI | 1699408740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162693) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.185194) |
| 101YM0800X Counselor, Mental Health (Licence: OH QMHSBachelors) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH CDCA.181149) | |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2024-11-01 |