| NPI | 1700392701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCIII.162973) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH LCDCII.161799) |
| 101YM0800X Counselor, Mental Health (Licence: OH QMHSPLUS3) | |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2026-03-02 |