| NPI | 1699781856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OH LICDC964551) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH E4002) |
| 101Y00000X Counselor (Licence: OH E4002) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2024-11-23 |