| NPI | 1699761809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: OH E-0003726) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: OH 001392) |
| 101YP1600X Counselor Pastoral (Licence: N/A) | |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2016-12-20 |